Unilateral proptosis in a patient with thyroid eye disease: A case report

Unilateral proptosis is an abnormality in which one eye sticks out forward more than the other. Bulging of the eye is commonly seen in Graves’ ophthalmopathy, but it’s mostly bilateral. Thyroid eye disease presents as the most common extrathyroidal manifestation of Graves’ disease, and rarely leads...

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Published inSAGE open medical case reports Vol. 11; p. 2050313X231190669
Main Authors Bhattarai, Himal Bikram, Thapaliya, Ishwor, Dhungana, Shrawan, Singh, Prabesh Bikram, Bhattarai, Madhur, Pokhrel, Bidushi, Khanal, Santosh, Lamichhane, Saral, Gautam, Swotantra, Basnet, Bibhusan
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.01.2023
Sage Publications Ltd
SAGE Publishing
Subjects
Case Report
Graves’ ophthalmopathy
thyroid eye disease
autoimmune
Graves’ disease
unilateral proptosis
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Summary:Unilateral proptosis is an abnormality in which one eye sticks out forward more than the other. Bulging of the eye is commonly seen in Graves’ ophthalmopathy, but it’s mostly bilateral. Thyroid eye disease presents as the most common extrathyroidal manifestation of Graves’ disease, and rarely leads to unilateral proptosis. A 25-year-old female with a history of weight loss, menstrual irregularities, and palpitations presented with progressive right eye bulging, which was further confirmed by magnetic resonance imaging and biochemical investigations. Magnetic resonance imaging of the orbit revealed unilateral extraocular muscle enlargement and enhancement with sparing of the tendons. Timely therapy is crucial for reversing the ocular manifestations of thyroid eye disease.
ISSN:2050-313X
2050-313X
DOI:10.1177/2050313X231190669